GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS

Collection: Research & Technical Reports
Sub-shelf: dpnr.vi.gov
Kind: Research Report
Pages: 1
Text: Native Text

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GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF PERMITS STX DISTRICT TEL: (340) 773-1082 STT/STJ DISTRICT TEL: (340) 774-3320 APPLICATION for PLUMBING PERMIT (Please Print Clearly) Parcel Identification Number (PIN) ___________________________________________________ Class of Work Owner of building: ________________________________________________________________ ☐New ☐ Alteration Owner mailing address: ____________________________________________________________ ☐Addition ☐ Repair Use of Building Plot No. ______________ Estate ______________ Quarter ____________ ☐ Private or Rental Dwelling ☐ Store/Warehouse House No. _______________________ Street _______________________ ☐ Restaurant ☐ Bar ☐ Office ☐Other _____ (If Applicable) General statement of the proposed work: ___________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Description of the proposed work and information related thereto: 1. No. of bedrooms _________; bathrooms __________ 2. No. of plumbing fixtures (existing plus new): Kitchen sinks ______ Toilets _____ Lavatories ____ Urinals ____ Bathtubs ____ Showers ____ Other (specify) ______________________ 3. Will waste be discharged to the city sewer? ☐ Yes ☐ No, if yes. A sewer connection ☐ Exists ☐ Is requested 4. Septic tank for this installation: ☐ Exists ☐ New 5. Septic tank inside dimensions: ____ft. long x _____ft. wide x ____ft. high (to overflow) x 7.5= ____ gal. 6. Capacity of seepage tank: _________________ gallons; or area of absorption field: ____________sq. ft. 7. Will installation use portable water? ☐Yes ☐ No. If yes, what is the size of the pipe connection or to be connected to the city main? __________________________________________________________________ 8. Will installation use salt water? ☐ Yes ☐ No. If yes, what is the size of the pipe connected to the city main? _____ inch. Connection: ☐ Exists ☐ Is requested Will the proposed work encroach on public rights-of-way or on the property of others? __________________________ Total estimated cost of the proposed work: $ ______________________ Has work been started? _________________ Plumber who will do this work: _________________________________License No.: _________________________ Signature of applicant: ________________________________________ Date signed: __________________________ Phone No.: __________________________ Note: Permit will be issued in the licensed plumber’s name, who is authorized to do the work on behalf of the owner. DEPARTMENTAL USE ONLY ☐Information requested. Remarks: _____________________________________________________________ E.C.: _____________________________ ☐Permit approved ☐ Permit disapproved _____________________________ Inspector ________________________________ Commissioner or Designee DPNR _______________________________ Permit No. _______________________________ Seal and Signature of USVI Licensed Plumber Fee Location of Work